health and safety evaluation of school buildings checklist 2019 …€¦ · health and safety...

Health and Safety Evaluation Of School Buildings Checklist 2019-2020

County: District:

(check one) Leased Owned School Building:

Completed By: Date:

This form shall be used for the evaluation of school buildings including: Traditional Public School Districts (owned or leased), Private Schools for the Disabled, Charter Schools, Renaissance School Projects and any other setting used for instruction. This evaluation checklist shall be completed annually by appropriate district personnel and kept on file for inspection or other legal issues. These indicators cover regulations issued by NJDOE, NJDCA, NJUCC, OSHA. The emphasis of this evaluation is for the health and safety of students and staff even in the absence of a specific Statute or Code. The items listed are not mutually exclusive of other findings a monitor/inspector may site. See “Facility Checklist Instructions and Guidance” for additional information.

Note: *All indicators denoted with 6A:26-8.1 also represent codified Temporary Facility Standards.

Section A: 100% Items (this section must have full compliance with items) 100% Compliance Current Licenses And Certificates #1 to #10 Yes No N/A Violation Location 1. A current certificate of compliance with the Uniform Fire Code

has been issued by the local or State fire official/inspectorwithin the year and posted in a conspicuous location. (orcurrent abatement inspection is available)

2. A current inspection report of the local health official (kitchen,cafeteria, pool, etc.) is available.

3. A 3 year asbestos management plan, as required by A.H.E.R.A.,is available including current 6 month surveillance letters. Ifconstructed without asbestos, a letter of certification from thearchitect is available.

4. An annual inspection report of the Department ofEnvironmental Protection for the operation of a sewagetreatment plant, where applicable, is available.

5. Current boiler inspection certificate(s) posted at site of boiler.

6. Current license(s) for high and low pressure boiler operators,as required by code, are properly posted.

7. Current drinking water supply inspection reports are availableto comply with the Safe Water Drinking Act. (N.J.A.C 58:12A-1)(6A:26-12.4)Also, evidence of testing of water for lead hasbeen provided by the district through annual submittal of theLead Testing Statement of Assurance.

of 9 Revised September 2019

Current Licenses And Certificates #1 to #10 Yes No N/A Violation Location 8. One fire drill and one school security drill are held each month;

[See“Checklist Instructions” for Certificate ofAssurance]18A:41-1

9. Right To Know requirements are properly posted and MSDSreporting materials on file for review.

10. District has defibrillators identified with appropriate signageand made available in an unlocked location on schoolproperty, which is accessible during the school day and anyother time in which a school-sponsored athletic event or teampractice, in which pupils of the district are participating, istaking place and is within reasonable proximity of the schoolathletic field or gymnasium, as applicable (Janet’s Law18A:40-41a-41c )

Exits/Exterior #11 to #12 Yes No N/A Violation location 11. Exterior switches and receptacles are covered by securely

fastened weather-proof plates and fixtures are securelymounted with no exposed wires.

12. All exterior exits are in good condition; readily accessible andfree of obstructions for use in an emergency; including:a. Fire escapes and/or exterior stairs can be safely

negotiated.b. Panic hardware is provided on exit doors of all spaces with

an occupancy load/capacity greater than 50.

Interior #13 to #21 Yes No N/A Violation Location 13. All electrical outlets; switches, receptacles and junction boxes;

electric wires; fuses and/or circuit breaker panels; etc. areproperly covered and/or secured and/or protected.

14. Sufficient access and working space is provided andmaintained around all electrical spaces. Items, especiallycombustibles, are a minimum of 36 inches from electricalpower sources or equipment; i.e.: circuit breaker panels, fuseboxes, transformers.

15. Instructional areas are free of all unapproved construction;e.g.: walls; partitions; doors and stairs; etc.

16. The hardware on doors of any space occupied by studentsshall permit egress from the room at all times. Key-operatedlocks, thumb-turn locks, hasps dead bolts, slide bolts or similartypes of locking devices shall not be permitted. 6A:26-8.1 (i2)

17. Unobstructed vision panels with code approved glass areinstalled in doors opening into corridors. Interior glazing shallbe safety glazing. 6A:26-8.1 (i3)

18. Kindergarten and Pre-K toilet requirements are met. NJAC6A:26-6.3(h)4.

19. District approves as needed: Dual Use, Change of Use,Alternate Toilet, Temporary sites (TCU or rented faculties).Required DOE approvals in place.


Interior #13 to #21 Yes No N/A Violation Location 20. Dangerous chemicals (i.e., liquefied petroleum gas/propane)

and/or explosive materials (i.e.: gunpowder; picric acid) arenot stored/present in the building. If needed, flammable andcombustible materials are properly stored/maintained (i.e., inproperly rated cabinets; not in boiler room/hazardous areas).

21. Carbon Monoxide Detectors (new)Must be in the vicinity of all fuel burning appliances.

• Gas and oil heating systems: Boilers, Furnaces,central and unitary equipment.

• Generators: portable and permanent.• Natural gas and propane appliances: Water heaters,

ranges, stoves, ovens, laundry washers and dryers• Fireplaces• Required in hallways connected to space with the

sourceNJAC 5:70-4.3(a), NJAC 5:70-4.9(d) and NJAC 5:70-4.19 (d)

Vocational/Laboratories #22 to #25 Yes No N/A Violation Location 22. Power machinery and equipment, as well as science labs, have

appropriate safety features in place, including as applicable:a. Appropriate placement on the floor and required point of

operation guards to protect users from injury due tomoving parts.

b. Clearly visible and accessible push-type emergency cut-outswitches at appropriate locations within shops to de-energize electrical supply to nonportable machinery.

c. Non-portable machinery provided with magnetic typeswitches to prevent automatic restart upon restoration ofpower after an electrical failure or reactivation of theemergency cut-off switch.

d. Key-operated electric solenoid shut-off valves on naturalgas lines in science laboratories and shops constructedafter 1979. On all other gas lines there is an emergencyshut off valve which is clearly marked and accessible.

23. At a minimum, one # 20 BC rated fire extinguisher is providedin each laboratory and vocational area.

24. Adequate eye and body protection is provided, including:a. Eye protection devices (glasses, goggles) for students and

faculty in each laboratory and shop area, includingappropriate provision for their sanitation.

b. Emergency eyewash device(s), with 15 minutes continuousflow, where caustic or corrosive materials are used.

c. An emergency cold-water shower for chemistry laboratoryif constructed after October 1985.(NJAC 6A:26-12.5)


Vocational/Laboratories #22 to #25 Yes No N/A Violation Location 25. Room provides for proper local or general ventilation and/or

exhaustion of toxic and/or dangerous fumes and/or odors,including for the following activities, as applicable:a. For science activities (i.e.: via fume hoods)b. For welding operationsc. For paint spraying operations:

1 Auto: should have separate exhaust system. 2 Art: proper ventilation for spray/ paint with fumes

d. Art: Safe designated space/room for kilns with properventilation

e. For dust generating operations, such as wood working,(i.e.: a dust collecting system which should be either singleor multi-use vacuum packs or a central dust collectionsystem

Yes No N/A 100% Items Total

End 100% Item Section

Space for Notes:

Section B: 80% Items continued on next page…


Section B: 80% Items (Must be compliant with 80% of these items to pass along with corrective action on the non compliant items) 80% Compliance Exits/Exterior #1 to #4 Yes No N/A Violation Location 1. No evidence of major exterior building structural damage.

Example(s) would include:a. Exterior walls appear free of structural cracks, loose

masonry and crumbling parapets; lintels appear free ofrust and flaking.

b. Gutters and downspouts appear to be in good conditionand are secured to the building; runoff does not appear tobe obstructed or create drainage or soil erosion.

2. All exterior receptacles are GFI protected in accordance withcode.

3. All school grounds, including general purpose play areas andathletic fields, are free of holes; glass; stumps, roots; rocks andother hazardous obstacles. Fences are maintained and are freeof holes. The outside physical education area for students shallinclude, but not be limited to, sufficient space, equipment, andsafe surfaces for the temporary facility enrollment andprogram needs and be protected from hazards or trafficconditions. 6A:26-8.1ix

4. Playground area and equipment appear to be in safe operatingcondition and in compliance with code and district maintainsdocumentation of compliance and regular (annual and/ormonthly) inspections.

Interior Items #5 to #26 Yes No N/A Violation Location 5. All interior exits and corridors are in good condition; readily

accessible; and free of obstructions and/or excessive materialswhich would hinder exiting.

6. Emergency evacuation egress procedures are posted at avisible height and standard location in all areas. 6A:26-8.1 (i4)

7. Doors leading to interior courtyards are clearly marked: "Notan Exit."

8. Handrails on both sides of interior stairways, guardrails, andinterior stair treads are free of surface features which maycause injury and/or are properly secured. Interior stair treadsdo not show evidence of extensive wear and are generally ingood repair.

9. Stage curtains need to indicate flame proof or flame retardantand certificates are on file.

10. All education spaces shall be equipped with a communicationdevise/system connected to the main office and capable ofemergency communication to local authorities or 9-1-1. 6A:26-8.1 (i6).


Interior Items #5 to #26 Yes No N/A Violation Location 11. Electric outlets and/or wiring appear appropriate, including:

a. GFI protection for receptacle(s) within 6 ft of water inaccordance with code.

b. Electrical extension cords and surge protectors usedappropriately, with extension cords only used fortemporary need(s).

c. Sufficient electrical duplex outlets shall be provided tosatisfy the program needs as provided in N.J.A.C. 6A:26-6.36A:26-8.1(vii2).

12. Nurse's Office: District boards of education shall provide thenecessary facilities, equipment and supplies for theperformance of the duties required under State law and therules by health services personnel. (6A:26-12.3 & 6A:26-6.3(b))

13. Individual or central mechanical ventilation unit(s) areoperating in all student and staff occupied rooms/areas andtoilet facilities; air conditioners are operational in windowlessinterior areas. Heating and ventilation requirements shall be asset forth in N.J.A.C. 6A:26-6.3 and the UCC. 6A:26-8.1 (iii).

14. Lighting levels in all instructional areas at least 50 foot candles,as measured with a light meter, comply with code andlamps/bulbs are covered with a lens cover or equivalentprotection. (6A:26-8.1(vi) & 6A:6.3(g)(1))

15. Instructional areas have no unauthorized and/or potentiallyhazardous materials/equipment in rooms. 6A:26-8.1 (i1)

16. A chalkboard or whiteboard, and/or display board is providedin each instructional space and is free of cracks and jaggededges. 6A:26-8.1 (vii1)

17. Ceilings, walls and floors are free of holes, sags, and evidenceof water damage. The average ceiling height shall be at least8' feet for instructional spaces in temporary facilities in anexisting public school, in a district owned facility and in rentedor leased buildings not on school district owned sites.6A:26-8.1 (ii)

18. Area and floor drains, where provided, appear to be in workingorder and covered with appropriate plates; unused(abandoned) waste lines (drains) are sealed off and capped.

19. Floors throughout the school are clean and free of trash, aswell as appear free of slipping, tripping and / or other hazards.Egress through halls and exits are clear and accessible.

20. Supplies and materials are neatly and appropriately stored:a. Storage racks/shelving over 6 feet in height are properly

secured from tipping.b. In general, there is no storage within 24 inches of a ceiling.

In buildings with sprinkler systems, storage is at least aminimum of 18 inches below sprinkler head deflectors.

c. Storage is organized to allow safe access through space.


Interior Items #5 to #26 Yes No N/A Violation Location 21. Provision shall be made for storage of students' clothing in

other than a corridor or exitway. Student lockers are usable;i.e.: doors, handles and locks are operable. 6A:26-8.1 (i7)

22. Drinking fountains are provided with sufficient water pressureor access to water coolers is readily available. (6A:26-12.4)Potable water shall be available and drinking fountains shall beprovided for students in cafeterias, preschool and kindergartenprograms in accordance with N.J.A.C. 5:23-7; 6A:26-8.1(v).

23. Toilet facilities shall meet existing UCC requirements for the EUse Group as determined by the construction official. Toiletfacilities shall be available within a reasonable distance notmore than one floor away, and shall be equipped with anexterior operable window sash or mechanical exhaustventilation. 6A:26-8.1 (iv)

24. Food and nonfood items (i.e.: cleaning products, etc.) in homeeconomics rooms & cafeteria are stored separately.

25. Non-instructional areas are free of all unapprovedconstruction; e.g.: walls, partitions, doors and stairs.

26. Furniture and equipment that is in good condition and suitablefor the age and size of the students and purposes ofinstruction shall be provided; NJAC 6A:26-8.1(vii)

Vocational/Laboratories #27 to #34 Yes No N/A Violation Location 27. Corrosives, toxic and other hazardous substances are stored in

proper corrosive storage cabinets and are properly labeled.

28. Required space is available for the safe operation ofmachinery.

29. Mechanical and hydraulic automotive lifts have locking devicesto hold them in the extended (open) position.

30. Floor(s) and aisles in all shops are free of slipping and trippinghazards.

31. “Eye Hazard Area- Wear Your Eye Protection” signs are posted.

32. The following additional safety measures are in place ifwelding operations are on-going:a. Welding curtains are provided and are painted with a

finish of low reflectivity.b. Personal protective equipment (goggles, aprons, etc.) are

provided.

33. Pressurized gas cylinders are secured (chain and eye hooks towelding cart, etc.) and valve protection caps are in place.

34. Oxygen cylinders in storage are separated from fuel gascylinders (acetylene) or combustible materials a minimumdistance of 20 feet.


Yes No N/A 80% Items Total

End 80% Item Section

Space for Notes:

Building Scoring continued on next page…


Facility Score 2019-2020

Scoring Sections 100% Section A 80% Section B Maximum # of Compliant Questions: 25 34

100% Section A Compliance Score NJQSAC FISCAL DPR [All items are in compliance in building(s)]

# of No responses in section A Compliant (No Exceptions)

Non-Compliant (Corrective Action Needed)

80% Section B Compliance Score NJQSAC DPR[At least 80% of items are in compliance in building(s)]

A. Number of Yes responses

B. Number of No responses Compliant Line (A) is equal to or greater than Line (D)

C. Subtotal [A + B ]

D. Multiply [(C) × 80%]Non-Compliant Line (A) is less than Line (D)

LEA Assurance Signatures

School Facility Name

Completed By Title Date

if applicable, Certified Educational Facilities Manger Date

Chief School Administrator Date


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